The Business Side of Healthcare Blog
Discover comprehensive articles about the business side of chronic disease, medical advances, news and technology for health plans, providers, and employers
Articles
Medicare Advantage 2026 Payment Paradox
Medicare Advantage just scored a massive win. CMS announced a 5.06% payment increase for 2026, pumping billions more into private Medicare plans that now cover 33 million seniors. But here's the fascinating twist: The same ...
AI Prescribing Without Doctors in Utah
A robot just wrote your prescription. No doctor required. Utah quietly made history last month. They launched America's first AI prescribing program where algorithms, not doctors, renew medications for chronic conditions. Zero human oversight required. ...
CDC Overhauls Childhood Vaccine Schedule
The CDC just rewrote 40 years of pediatric vaccine policy. On January 5, 2026, the Acting CDC Director signed a decision that fundamentally changes how America vaccinates children. The new schedule focuses only on "consensus ...
AI Drafts Radiology Reports in Real Time
Northwestern just solved radiology's biggest bottleneck. Their new generative AI drafts complete radiology reports in real time, and the results are staggering: 📊 15% to 80% efficiency gains across 11 hospitals 🎯 95% complete drafts ...
J&J Lupus Breakthrough Changes Everything
5 million lupus patients just got their first real hope in decades. Johnson & Johnson just announced something extraordinary today: nipocalimab, the first FcRn blocker to show positive results in treating systemic lupus erythematosus (SLE). ...
HKUST AI cuts radiation 99% in 3D imaging
Hong Kong just solved one of medicine's most stubborn trade-offs. For decades, we've accepted that detailed 3D imaging meant bombarding patients with radiation. CT scans require 400-500 X-ray images. That's like getting a chest X-ray ...
Medicare AI Prior Auth Revolution
Medicare just bet the farm on AI to fix prior authorizations. On January 1, CMS quietly launched the most ambitious healthcare AI experiment in government history: the WISeR Model. Six states, New Jersey, Ohio, Oklahoma, ...
FDA TEMPO Pilot Transforms Digital Health
The FDA just flipped the script on digital health regulation. Starting January 2, 2026, the TEMPO pilot program allows digital health companies to skip premarket approvals, investigational device exemptions, and certain clinical trial requirements. Think ...







